| NPI | 1548613219 |
|---|---|
| Former Name | AMANDA GENTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 7410114-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 7410114-4405) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-11-11 |